Clinical Operations Lead - Social Work Case Management

Highmark Health; Trenton (NJ); Remote; USD 94,000 - 151,000; Full time

Job summary

Highmark Health is seeking a lead for social work case management who will guide a team of licensed professionals delivering care to a defined member panel. The role focuses on clinical quality, outcomes, compliance, and workforce development, with cross-functional execution of enterprise initiatives.

The incumbent will supervise staffing, scheduling, and performance, ensuring adherence to policies, and coaching staff to meet engagement targets and financial goals.

Qualifications

• Minimum: Master’s Degree - Social Work or Social Welfare, Counseling, Psychology, Public Health, Public Healthcare administration or other clinically relevant field.
• Preferred: MS in Social Work or Social Welfare.

Responsibilities

• Manage daily operations of the department including staffing, scheduling and adherence to policies.
• Provide clinical leadership and ensure evidence-based social work practices and care plans.
• Monitor metrics and drive improvements in engagement, outcomes and cost of care.
• Lead cross-functional teams and collaborate with leadership to achieve enterprise objectives.

Skills

Leadership

Clinical supervision

Communication

Virtual leadership

Project management

Compliance

MS Office

Data-driven decisions

Healthcare cost awareness

Education

Master's degree - Social Work or related field

MS in Social Work

Job description

Highmark Health is seeking a lead for social work case management who will guide a team of licensed professionals delivering care to a defined member panel. The role focuses on clinical quality, outcomes, compliance, and workforce development, with cross-functional execution of enterprise initiatives.

The incumbent will supervise staffing, scheduling, and performance, ensuring adherence to policies, and coaching staff to meet engagement targets and financial goals.